Prague Grocery, LLC

NPI #1306936836 in Prague, Oklahoma

Provider Information

NPI Number
1306936836
Entity Type
Organization
Organization Name
Prague Grocery, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PRAGUE GROCERY, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 13, 2006
Last Updated
Aug 11, 2022

Practice Location

Address
1000 W MAIN
Address 2
3301 NBU
City
Prague
ZIP Code
74864
Phone
(405) 567-4000

Authorized Official

Name
MELINDA MAY FISHER
Title
PHARMACY MANAGER
Phone
(405) 567-4000

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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